Healthcare Provider Details

I. General information

NPI: 1700431285
Provider Name (Legal Business Name): MORGAN HEGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2019
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 LIBERTY ST
EL DORADO AR
71730-4322
US

IV. Provider business mailing address

2009 RIDGEWOOD DR
EL DORADO AR
71730-5288
US

V. Phone/Fax

Practice location:
  • Phone: 870-863-8194
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: